Organization
FLORIDAN DENTAL AT PINES, PLLC
Active
Other names
Floridian Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY VINUELA DDS (OWNER)
(954) 441-8778
Entity
Organization
Contact information
Practice address
12251 TAFT ST, SUITE 200, PEMBROKE PINES, FL 33026-1901
(954) 441-8778
Mailing address
12251 TAFT ST, SUITE 200, PEMBROKE PINES, FL 33026-1901
(954) 441-8778
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19253
FL
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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